Historic Cemetery • Annual Monitoring Form

Please email gr****@pr********.org or call 206-462-2999 if you have any questions.

Historic Cemetery Grants • Annual Monitoring

"*" indicates required fields

Cemetery Address
Owner's Name
Owner's Mailing Address
REQUIRED. Please submit photos capturing the cemetery and the specific site(s) where grant-funded work occurred. If changes or alterations have been made to the project site(s), include additional images illustrating these changes. Please label photo file names.
Drop files here or
Max. file size: 50 MB.
    For example: was a columbarium built or a fence replaced?
    If changes have been made, did you contact program staff prior to implementing the changes?*
    Program staff will request more information if necessary, but it is still your responsibility to contact staff before any significant projects begin that will impact the cemetery within the 10-year maintenance agreement period.
    MM slash DD slash YYYY